ABOHNS Sleep Medicine case studies
ABOHNS Sleep Medicine · Put your knowledge to work in context.
The ABOHNS Sleep Medicine subspecialty certification is a credential for otolaryngologists-head and neck surgeons who wish to demonstrate advanced knowledge in sleep medicine as it applies to their specialty. It is intended for practicing surgeons who evaluate and manage sleep-disordered breathing, especially obstructive sleep apnea, and related conditions in both adults and children. The ABOHNS Sleep Medicine case studies are 5 cases and about 2,634 words.
1CPAP Intolerance After UPPP in a Patient with Positional OSA
A 52-year-old man with hypertension (BMI 33, neck circumference 17.5 in) has moderate OSA (AHI 22, supine AHI 48, nonsupine AHI 6) diagnosed 2 years ago. He underwent UPPP 10 months ago and reports no improvement in daytime sleepiness (ESS 15).
595 words, about 3 min2Persistent Sleepiness on Adequate PAP in a Commercial Driver
A 44-year-old long-haul truck driver was diagnosed with severe OSA (AHI 62) 8 months ago. He uses CPAP every night, and device data show 7.1 hours/night average use with a residual AHI of 2.1 and no large leak.
534 words, about 3 min3New-Onset Confusional Arousals in an Older Adult on Zolpidem
A 71-year-old woman is referred for 'violent sleep behavior.' For 4 months her husband reports that 1-2 hours after sleep onset she sits up, appears confused, mumbles, and sometimes flails or grabs at him; she does not recall these events. Episodes last 1-3 minutes and she returns to sleep.
528 words, about 3 min4Titration Dilemma: Mixed Apnea Emergence During CPAP Titration
A 63-year-old man with heart failure (LVEF 35%), atrial fibrillation, and BMI 36 undergoes in-lab CPAP titration for severe OSA (AHI 71, mostly obstructive, with central apnea index 4 at baseline). At 8 cm H2O his obstructive events resolve, but at 10-12 cm H2O he develops frequent central apneas with desaturations to 82%, and the central apnea index rises to 28/hour with a Cheyne-Stokes pattern.
487 words, about 2 min5Preoperative Risk Stratification Before Tonsillectomy in a Child with OSA
A 5-year-old boy (weight 32 kg, BMI 22, above the 95th percentile) is scheduled for adenotonsillectomy for OSA. He snores nightly, has witnessed apneas, and has daytime behavioral problems.
490 words, about 2 min